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N Flashcards

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1
Q

PKU
What is it
what can/ can’t have
What can it cause

A

An inborn error of metabolism that interferes with a liver enzyme that processes amino acid phenylalanine.
sugar/fruit /veggies/ special stuff
protein aspartame
Brain damage

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2
Q

Normal hr for babies

A

180

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3
Q

Normal BP for infant

A

60-100/40-55

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4
Q

Normal respiratory findings in a neonate 3

A

Irregular, 30-60 some fluid in lungs for 24 hrs so might hear crackles

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5
Q

What does HELLP stand for and what is a complication of it?

A

Hemolysis, Elevated Liver enzymes, Low platelets

DIC

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6
Q

pH normal and how to tell metabolic from respiratory

A

7.35-7.45
Ph and Bicarb are same direction=metabolic
Different-Respiratory

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7
Q

Normal acid base values

A

7.35-7.45
Bicarb-22-26
02- 80-100
Paco2-35-45
Sa02-95-100

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8
Q

Compensated vs part comp A/B

A

Ph is normal everything is abnormal

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9
Q

s/s of acid base imbalances

A

As the pH goes up so does my patient except for potassium.

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10
Q

K+
Name to remember and why

A

Mackussmaus- Kussmal respirations in metabolic acidosis

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11
Q

Respiratory al/ac problem

A

overvent-Alkalosis
Under-Acidosis

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12
Q

Tell between metabolic Ac/Alk

A

Prolonged suctioning or vomiting-alkalosis
Everything else is Acidosis

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13
Q

Vent alarms

A

There are only two
High-The vent is working too hard to get air into the lungs there is increased resistance due to obstructions
!. Kink-unkink
2. Water in dependant loops-empty
3. Mucas in airway-turn cough deep breath-suction PRN.
Low-Decreased resistance due to disconnections
1. Main tube is disconnected-reconect
2. Ox senser is disconected
3. Pay attention to where tubing is it needs to be cleaned

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14
Q

Psych remember to use MASLOW

A

physiological
Safety
Comfort-pain
Psychological
Social
Spirit

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15
Q

How to tx denial

A

Confront
you say this and then you say this

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16
Q

Stages of greif

A

DABDA
Is it loss or abuse?
With loss you comfort

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17
Q

What is Wernicke korsakoff
tx

A

encephalopathy psychosis
From vit b thiamine amnesia with confabulation
tx-redirect

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18
Q

What is Disulfiram onset and diration
teaching-

A

Antibuse
2 weeks
Avoid alcohol

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19
Q

what are the uppers

A

5
Caffeine
Cocaine
PCP/LSD Hallucinogens
Methamphetamines-pheds meth
Adderol

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20
Q

What is borborygmi

A

Hyperactive bowels

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21
Q

Intox vs wd in new born time

A

24hrs

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22
Q

DTS know 3

A

72 hours after drinking
withdrawal comes first
Can kill you and are dangerous

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23
Q

What are aminoglycosides?
way to remember

A

Powerful antibiotics
A mean old MYCIN-tx a mean ol infection- life threatening-gram neg,

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24
Q

aminoglycocides drug names

A

all end in mycin
but if thromycin-its not aminoglycoside

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25
Nursing considerations of amminoglycocyns
Ears and kidneys
26
Amminoglycocins route and two things about it
IM or IV only PO hepatic encephalopathy or prep or bowel surger who can sterilize my bowel-Neo can
27
Why Draw TAP 3 ex
Narrow therapeutic margin Dig, Mean old mycins
28
Drawing TAP time and route
SL 5-10min after dissolved IV- 15-30mins IM-30-60min SC dont worry PO dont worry All trough are 30mins before next dose so the above is all peaks
29
CCBs are like
Valium for your hert
30
CCBS Calm and are blank like others that calm
negative tropic
31
What do CCBs tx
AAA AntihyperTN Antianginals antia atrial arrhythmias
32
Parameters for CCBS Side effects for CCB
Hold if systolic <100 HH-Headache hypoten
33
What are the names of CCBS
End in Dipine plus 2 more verapamil, cardizem
34
Cardiac arrhythmias QRS and Pwave
QRS-vent P-atrial
35
Tx for Vent tach and PVC
Amiodarone or lidocane
36
Atrial arrhythms
ABCD Adenosine-push fast Beta blockers-LOL CCB Dig
37
other names for dig
Digitalis, digoxin, Lanoxin
38
Tx for v fib
For v fib you dfib
39
Asystole tx
Epi and atropine in that order
40
What do chest tubes do
reestblish neg pressure in the lungs
41
What do you do when you get a chest tube question
What is the reason-air or blood? this helps to pick what is a normal output
42
chest tube placement
A for A b for B Apical for air Basilar for B
43
Bubbling and chest tube
Waterseal- Intermintent-good Continuous bad Control suction is opposit
44
Rules for clamping N
No more than 15 secs without doctors order use rubber tipped and double clamp
45
COngenital herat defects
46
what to remember about congenital heart defects
The bad ones (Trouble) always start with T
47
what to remember about congenital heart defects
The bad ones (Trouble) always start with T
48
What are the defects of tetralogy of fellow
VarieD PictureS OfA RancH VD-Ventricular defect PS-Pulmonary stenosis OA-Overriding aorta RH-right hypertrophy
49
PPE for Contact special equip neg airflow types of diseases
Gloves, Gown, Hand washing .Maybe eyes yes no Anything enteric Hep A for Anus Skin stuff RSV
50
Droplet PPE Deadicated equ Neg air types of diseases
mask gloves no gown only when doing pt care hand washing yes yes meningitit, Hflu-epiglottitis
51
Airborn PPE equipment neg
MAsk,glove, gown Maybe Yes MMR and TB
52
Donning and doffing
Donning-Put on reverse alphabet but mask is second Doffing-Alphabetical order inside room but mask outside
53
IV drip rates
gtt/min mini-60gtts/ml macro-10gtts/ml
54
how to measure height of crutch? hand grip
2-3 finger widths below andterior axillary fold to a point lateral and slightly in front of the foot elbow flextion is about 30 deg
55
When do you use points for crutches?
Even for even odd for odd How many limbs are effected 2-mild 4-major swing for non-weight bearing
56
Stairs and crutches
up with the good and down with the bad.
57
Delusions one thing 3 types
No sensory Paranoid delusions someone is to harm you Grandiose delusions you are god Somatic X ray pregnant thought about body part
58
Hallucinations
Sensory idea or belief
59
Difference between Hallucination and illusion
Illusion there is a referent
60
What are the functional psychosis and tx
schizo schzo major manic acknowledge feeling present reality set. limit
61
Phychosis of dementia tx
Acknowledge feelings redirect
62
Psychotic delirium
Acknowledge assure
63
What are the loosening of association
Flight of ideas-Each phrase makes sense but together they do not word salad- Babble Neologism-makes up words
64
How to think of Diabetes inspitus
Dehydration
65
What are the 3 ps of diabetes
Polydipsia Polyphagia Polyuria
66
Insulins how to remember onset/peak duration
Regular-anything ends in R NPH-not fast and not in the bag 124681012 Humalog-lispro 15/30/3 Lantus-glargine low risk no peak
67
S/S for low bg
Drunk in shock
68
S/s for high BG
DKA Dehydration Kussmaul A high acidosis-so high K+ acitone breath anorexia
69
What are the electrolyte sentences
Kalemias do the same as their prefix except for urine output and heart rate Calcium and mag do the opposite of their prefix
70
What do you think when you hear thyroid
metabolism
71
how to tx thyroidtoxicosis
O2 then ice cool down
72
SIADH and DI
Fluid overload vs dehydration
73
Lithium and other drug toxic
06-12 10-20
74
Opisthotonos
Kernikterous baby positioning and put them on their side
75
Dumping syndrome s/s
drunk, shock, and ab distress
76
Addisons vs cushings
Not enough secreation-Addisons Too much-Cushings Mrs addison and her cousin a needs steriods and c needs. to cut it out
77
paresthesia vs paresis
Nerve vs mm
78
NERVE root compression s/s
3 ps pain paresthesia and paresis
79
When do we see the doc during preg and induce
ones a month 7 months once every two weeks at 28 weeks once a week 36 weeks 42 weeks-deliver
80
Presenting station
neg is neg news pos is pos news
81
WHat to check on the cord after delivery
3 vessels AVA
82
Bleeding after pregnancy
Excessive-one pad q 15 mins or less
83
WHat are tocolytics
Stop labor terbutaline -tachy mag-Check respiratory and reflex
84
Oxytoxics
Stimulate contractions Ptosis, Methergine
85
What two medications are given for fetal respirations
Betameth-mom Servanta-surfactant-abbe
86
Four rules for prioritization
1. Acute beats Chronic 2. Fresh post op beats medical or surgical (first 12 hours) 3. Unstable beats stable
87
High priority Organs if in mod! 6
brain lung heart liver Kidney pancreas
88
auscultation of heart spots
A P T M
89
Normal specific gravity
1.005-1.030
90
red blood cell count
4-6 x10
91
red blood cell count
4-6 x10

NCLEX (3 decks)

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